PLATTSVILLE FIGURE SKATING CLUB REGISTRATION FORM OCTOBER 2015 TO MARCH 2016 Full name: Street address: City: Pstal Cde: Birth date: (M/D/Y) Gender: F M Phne number: Cell phne number: Email address: Skate Canada #: Health Card # Health cncerns? Parents / Guardian s names: The Plattsville Figure Skating Club reserves the right t mve skaters between classificatins depending n the skater's ability. The Plattsville Figure Skating Club has the right t change the schedule depending n registratin and als t accmmdate special circumstances such as test sessins and ther emergency situatins, r t cancel any sessin withut ntice. Media Permissin: Unless OPT-OUT is circled, it is understd that permissin is granted as fllws I give my permissin fr the Plattsville Figure Skating Club t use my image (phtgraph r vide) n the Club website r t prmte club events and activities. OPT-OUT WAIVER: Applicant hereby waives all claims, rights r causes f actin against the Plattsville Figure Skating Club, its fficers, directrs, emplyees, r members fr persnal injury r lss f prperty f any nature, hwever r wherever sustained Signature f skater r f parent/guardian if skater is under 18 Date
PROGRAMS DAY X TIME STARTING DATE Canskate *pick either day fr ne day member Advanced Canskate/Junir *see nte #3 COST VOLUNTEER BOND Mnday 6:40-7:20pm Oct 26, 2015 1 day $325.00 $75.00 $100.00 Wednesday 5:30-6:10pm Oct 28, 2015 2 day $525.00 FUNDRAISING FEE Mnday 6:40-7:20pm Oct 26, 2015 1 day $325.00 $75.00 $100.00 Wednesday 5:30-6:10pm Oct 28, 2015 2 day $525.00 $75.00 $100.00 Friday 6:25-7:20pm Oct 30, 2015 - Private lessns nly Skate Canada fee Nte: nt included in Sessin A/B fees $33.00 Sessin A* Must be wrking n Mnday 5-6:30pm Oct 26, 2015 $150.00 $100.00 Skate Canada Tests Wednesday 4-5:30pm Oct 28, 2015 2 day $800.00 (*intermediate) Sessin B* Must have Gld skills and Part 1 Senir Brnze freeskate (*senir) Ttals Please nte: Friday *see nte#4 4:45-6:15pm Oct 30, 2015 3 day $875.00 Mnday 7:30-9:20pm Oct 26, 2015 $150.00 $100.00 Wednesday 6:20-7:50pm Oct 28, 2015 2 day $800.00 Friday 4-5:30pm Oct 30, 2015 3 day $875.00 1. Mark day(s) requested subject t caches discretin and availability 2. Skate Canada fee f $33 is mandatry and nn refundable; nt included in Sessin A/B fees; must be included in depsit fr all skaters 3. Fr Advanced Canskate/Junirs 2 day can be cmb f Mnday/Wednesday/Friday; days must be marked and apprved by caches; 3 day available cst t be determined 4. Fr Friday, Sessin A, must have passed part 1 f Junir Brnze freeskate 5. One day membership fr intermediate/senir may be available at request t Bard cst t be determined 6. Vlunteer Bnd (cheque pst-dated t March 31, 2016) and Fundraising Fee (cheque pst-dated t Nvember 1, 2015) is per family; family has pprtunity t earn back the cst (see attached sheet) Payment, Refund and Withdrawal Plicy: Cheques are t be made payable t Plattsville Figure Skating Club. NSF cheques will be subject t a $40 administratin fee. Cheques may be psted dated. Please pay fees in full r in 2, 3 r 4 instalments (see dates belw). Ask registrar fr further details payment plan must be clarified at registratin. All fees must be received n later than January 15, 2016. Late fees may apply t unpaid registratin fee. All members f the club must pay club fees as stipulated by the club bard f directrs. Members in arrears shall be cnsidered as having terminated their membership. N refunds will be given after the 15 th f Nvember 2015, unless accmpanied by a medical certificate. Withdrawals accmpanied by a medical certificate, will be entitled t a pr-rated refund. OFFICE USE ONLY Registratin depsit: cheque # Skater Names: 1. Nvember 1, 2015: cheque # 2. December 1, 2015: cheque # 3. January 1, 2016: cheque # 4. Vlunteer bnd cheque # Fundraising cheque #
Plattsville Skating Club Vlunteer Registratin 2015/2016 Our club relies n vlunteers! The vlunteer bnd can be cashed r a vlunteer cmmitment can be made and yur cheque will be held until the cmmitment is fulfilled. Canskate and Advanced Canskate families are required t submit a vlunteer bnd cheque fr $75 at registratin. Sessin A/Intermediate and Sessin B/Senir skater families are required t submit a vlunteer bnd cheque fr $150 at registratin. One cheque is required per family, based n yur mst advanced skater s categry. T fulfill yur vlunteer cmmitment, Canskate/Advanced Canskate families shuld anticipate dnating at least 5 hurs f time t club functins, and Sessin A/Int. and Sessin B/Senir families shuld anticipate dnating at least 10 hurs f time t club functins. Skater Name Cntact Name Cntact Email Vlunteer Bnd submitted I wuld prefer t vlunteer n an n ging basis I am interested in the fllwing n ging psitins: Executive Bard Member Carnival Cmmittee (vlunteering thrugh March 2016 is required) Advertising/Spnsrship Vlunteer Crdinatr Registratin Fundraising Sessin Rep (please circle: Canskate, Advanced Canskate, Sessin A/Int, Sessin B/Sr) Synchr Rep Cmmunicatins (Newsletter, bulletin bard, website, etc) Test Chair Registratin I wuld prefer t vlunteer fr special events I am interested in the fllwing special events in the Winter 2015 sessin: Hliday On Ice Shw Fundraising Initiatives Wheelbarrw f Cheer Fundraiser I wuld like t have my vlunteer bnd cashed immediately Further infrmatin n vlunteer jb respnsibilities will be prvided when jbs have been assigned. Please nte that yu may indicate yur preferences n this frm. We encurage yu t check as many categries as pssible. Psitins fill quickly and we cannt guarantee yur preferences will be available. The vlunteer crdinatr will discuss ptins with each family fllwing registratin.
The Fundraising cmmittee welcmes yu t the 2015/2016 PFSC seasn. Our skating club like many ther rganizatins depends n vlunteers and fundraising t sustain them. We knw that families becme bmbarded with fundraising this time f year s we decided that instead f having numerus ptins we will have three main fundraisers. Spnsrship Letter Christmas Shw Wheel Barrw f Cheer Carnival After much cnsideratin we believe these three events/ptins bring in the mst mney t ur club. Mney that is much needed t ff set increasing csts t ice and skate prgrams. T start ff the seasn yu will find a Spnsrship letter in yur registratin package. We hpe that yu will phtcpy this and pass alng t friends and family and peple that yu knw with businesses. We d nt expect yu t g dr t dr. This allws businesses t get their name ut there n ur website and carnival prgrams fr free. Stay tuned t ur Website, Facebk Page and the Bulletin Bard in the lbby f the arena fr mre infrmatin t fllw n the Wheel Barrw f Cheer fr the Christmas shw. Yurs in Skating, The Fundraising Cmmittee
T Whm It May Cncern, The Plattsville Skating Club is lking fr spnsrship frm lcal businesses and individuals. The Club is a prud member f Skate Canada and has been a part f the cmmunity fr ver 40 years. Plattsville Skating club is well knwn fr prducing skaters at the Natinal, Prvincial and Winter Games level. We are dedicated t prviding the yuth f Plattsville and surrunding areas with an pprtunity t participate in skating thrughut their lifetime fr fun, fitness and achievement. We ffer skating instructin fr all levels frm ur Learn t Skate prgram, Starskate, Cmpetitive skating, and Synchrnized skating prgrams. We have a dedicated caching staff that wrk hard t prvide every pprtunity fr ur skaters t be the best that they can be. The Plattsville Skating club is a nt fr prfit rganizatin, and we are actively seeking spnsrs t help keep ur club and ice csts affrdable fr ur families. With yur spnsrship, we will ffset the increasing csts f ice and fees. As a spnsr, ur club will place yur ad in ur Hliday Ice Shw and ur annual yearend Carnival prgrams. It will als be placed n ur Website and Facebk page. If yu wuld like t make a spnsrship dnatin, r if yu have any questins, please cntact Nicle Swartzentruber President f the Plattsville Skating Club at 519 532 0905* r by mail at n.swartzentruber@execulink.cm Yurs in Skating, Plattsville Skating Club Fundraising Cmmittee